Provider Demographics
NPI:1386060390
Name:GROENEWEG, APRIL (MS BCBA)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:GROENEWEG
Suffix:
Gender:F
Credentials:MS BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3048 GRAND PALM WAY
Mailing Address - Street 2:
Mailing Address - City:GULF BREEZE
Mailing Address - State:FL
Mailing Address - Zip Code:32563-5662
Mailing Address - Country:US
Mailing Address - Phone:843-901-3258
Mailing Address - Fax:850-739-7890
Practice Address - Street 1:3048 GRAND PALM WAY
Practice Address - Street 2:
Practice Address - City:GULF BREEZE
Practice Address - State:FL
Practice Address - Zip Code:32563-5662
Practice Address - Country:US
Practice Address - Phone:843-901-3258
Practice Address - Fax:850-739-7890
Is Sole Proprietor?:No
Enumeration Date:2014-03-14
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst